Monthly Macro Check Ins

Name

First NameLast Name

Email

example@example.com

Have you tracked macros before?

Is fat loss your ultimate goal?

What is your height?

What is your age?

How much do you currently weigh?

How active are you on a daily basis?

What is your fitness routine? How much strength training and how much cardio do you do throughout the week? This includes walking.

How many steps do you get each day?

Do you have any significant health issues or dietary restrictions that need to be discussed?

Do you eat meat?

Do you know how many calories you currently consume a day? How long have you been eating in this calorie range?

Do you understand that eating under your Basal Metabolic Rate for an extended time prior to this challenge may limit your fat loss results? Do you know that under eating prior to this challenge may warrant a reverse diet?

Will you be able to devote the time to tracking macros in this period of time in order to get results?

What type of diets have you done in the past? What was successful and what was not?

On a scale from 1-10, with 1 being the least successful, how well do you feel you will reach your goal?

Caroline Schiller is not a physician or registered dietician. Please consult with your physician for medical clearance and approval before starting this nutrition program. Information provided here will be in suggestion use only. Information received by Caroline Schiller is not intended to diagnose , treat, care, or prevent any health problem. By participating in this program, you are agreeing to accept full responsibility for your actions. Please inquire about this before you submit your payment. No refunds. By submitting this form you agree to all these terms

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